Algonquin College - Human Resources

Reasonable & Customary Charges

When submitting a benefit claim, the amount of your reimbursement will be limited by the particulars of your benefit plan as well as the "Reasonable and Customary Charges" determined by Sun Life. These charges reflect the maximum amount for which a health care professional can charge you for a particular service, and thus the maximum which you can submit to Sun Life.

For example:
You are charged $150 per visit by your acupuncturist, however, the reasonable and customary charge determined by Sun Life is $100 per visit. You will therefore be reimbursed 85% of $100, or $85, and must pay the remainder out of pocket.

Services	Fee	Regulatory Body
Acupuncturist (per visit)	$100	No Licensing Body.
Audiologist (treatment, per hour)	$120	http://www.osla.ca/
Chiropractor* Initial Assessment Subsequent Treatments	$134 $70	College: http://www.cco.on.ca/ Ontario Association: http://www.chiropractic.on.ca
Massage Therapist* (per visit)	$80	http://www.cmto.com/
Naturopath* Initial Assessment Subsequent Treatments	$270 $180	http://www.boardofnaturopathicmedicine.on.ca/
Occupational Therapist	$90	http://www.coto.org/
Orthopaedic Shoes (per pair)	$629	This limit is currently under review.
Orthotics (per pair)	$446-$623	This limit is currently under review.
Optometrist/Ophthalmologist	$90	http://www.eyecareoao.com
Osteopath Initial Assessment Subsequent Treatments	$100 $100	http://www.osteopathy-canada.com/
Physiotherapist Initial Assessment Subsequent Treatments	$150 $150	http://www.collegept.org/
Podiatrist/Chiropodist Initial Assessment Subsequent Treatments	$100 $90	http://www.cocoo.on.ca/
Psychologist (per hour)	$210	http://www.cpo.on.ca
Speech Therapist (treatment, per hour)	$150	http://www.osla.on.ca/

Effective May 2007.

* May also provide acupuncture treatments if the provider is accredited to do so by the applicable licensing body.

Please don't hesitate to contact us if you have any questions or Feedback.

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